Article Critique

Posted on: 12th May 2023

Question

Overview: When caring for patients it is essential that as a nurse you are using evidence-based practice. In order to identify what is best practice, you must be able to read research critically. Terminology used in research can be difficult to interpret and understand; therefore securing a solid foundation is essential to the success of identifying and implementing current best practice. What is a critique? It is a professional analysis of the weaknesses and strengths of a particular piece of research. A critique may be done for a variety of purposes: acting as an expert reviewer to assess whether this research paper should be published; providing helpful comments on a work before it is submitted for publication; or, as in the case here, as a learning experience for emerging scholars to practice their developing research skills.

Prompt: Choose one of the two provided articles located in the module Reading and Resources folder. Start by filling out the provided worksheet. Then, using the worksheet as your guide, write a critique to dig deeper into each section and identify the specific examples of each element (e.g., what is the research question? Does the author justify the importance of the research? In the case of a literature review, has the author examined the relevant literature?). Elaborate on each section and evaluate it for its strengths and limitations. Be sure to identify your chosen article and address the following critical elements:

USE HEADER FOR EACH SECTION (CRITIQUE, PURPOSE & RESEARCH QUESTION, VALIDITY AND RELIABILITY, FINDINGS AND CONCLUSIONS, EVALUATION)

1. Critique

A. Purpose and Research Question: What is the research question? Does the author justify the importance of the research?

B. Design and Methods: What design and methods were used? Are they rigorous and systematic?

C. Validity and Reliability: Is the study valid and reliable? (For qualitative research, this section of your critique should consider the study’s trustworthiness and rigor.)

D. Findings and Conclusions: Are the conclusions statistically significant or clinically significant given the findings?

2. Evaluation: What are the strengths and weaknesses of the research article? Did the author succeed or fail in the purpose of the study? Recommend areas for improvement or suggest direction for future research.

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Solution

Article Critique

A. Purpose and Research Question

The research question to explore how effective clinical alerts and alarms are in promoting patient safety. The authors justify the importance of this research by noting that alarm fatigue is a growing problem in healthcare, and that previous studies on the topic have been limited (Simpson & Lyndon, 2019).

B. Design and Methods

A qualitative design and methods was used, specifically focus groups and interviews, to explore nurses’ clinical perceptions alerts and alarms. While this study did not employ a rigorous or systematic research design, the authors collected valuable data that sheds light on the alarm fatigue problem. For example, in the research, most nurses ignore majority of alarms (Simpson & Lyndon, 2019). The study was not valid or reliable as it did not use a representative sample of nurses and the data was collected through self-report, which is subject to biases such as recall bias.

C. Validity and Reliability

The study suffers from several limitations, especially given the alarm information’s trustworthiness. For example, the researchers used a convenience sample of nurses, which may not be representative of the general population. The research did not use any quantitative methods to evaluate fatigue caused by alarm and its influence on patient safety. For example, the researchers did not gather data on how many alarms went off during a shift or how many were responded to by nurses (Simpson & Lyndon, 2019). The study was also restricted to a single hospital. Because the research was restricted to one location, the findings may not be generalized to other hospitals or healthcare settings.

D. Findings and Conclusions

The authors’ findings are clinically significant given the limited data that was collected. The finding that most alarms are ignored by nurses is important, as it suggests that alarm fatigue is a major problem in healthcare. The summary of the research findings of their study based on the data obtained in focus groups and interviews. While this data is not statistically significant, it does provide insights into how alarm fatigue affects nurses and patient safety (Simpson & Lyndon, 2019). The research also found that some alarms were considered more important than others, but there was no clear consensus on which alarms were most important. This finding suggests that more research is needed to identify which alarms are most critical for patient safety.

Evaluation

The authors’ succeeded in their purpose to explore how effective clinical alerts and alarms are in promoting patient safety. However, the study has some limitations that should be addressed in future research. For example, the study would benefit from a more rigorous and systematic research design. The researchers should consider collecting a lot of qualitative data on how fatigue caused by alarms affects patient safety.

The authors succeeded in their purpose to explore how effective clinical alerts and alarms are in promoting patient safety. For example, the researchers highlight that the most part of nurses disregard alarms. The study is somewhat limited to its validity and the alarm information reliability. The authors relied on a convenience sample of nurses, which may not represent the actual population.

The study would benefit from a more rigorous and systematic research design. The researchers should collect qualitative data on alarm fatigue and its influence on patient safety. The authors could track how many of these alarms were actually responded to by nurses, or how many went off during a shift. To determine the generalizability of the results, they should be validated in other hospitals or healthcare facilities. The study was confined to a single institution. As a result, the findings that could not be applied in other healthcare centers or conditions. 

References

Simpson, K. R., & Lyndon, A. (2019). False alarms and overmonitoring: major factors in alarm fatigue among labor nurses. Journal of nursing care quality, 34(1), 66-72.

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